Individual
KRISTOFFER NEIL GURDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-2071
Mailing address
4312 40TH AVE S, MINNEAPOLIS, MN 55406-4002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8876
MN
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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